| NPI | 1184053175 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | CRAIG J. LAFOLLETTE President 541-573-7303 |
| Organization Subpart ? | No |
| Primary Taxonomy | 322D00000X Residential Treatment Facility, Emotionally Disturbed Children (Licence: OR 0176) |
| Enumeration Date | 2013-11-11 |
| Last Update Date | 2013-11-11 |